Active NPI 1730269002 Individual Practitioner Male Practitioner

Dr. Thomas A Pezzi , MD

Surgery • Lenoir, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Pezzi, MD is a certified Surgery practicing in Lenoir, NC. With approximately 35 years of clinical experience since graduating from Temple University School Of Medicine in 1991, Dr. Pezzi delivers high-quality medical care to the local community at 401 MULBERRY ST SW.

Dr. Pezzi is affiliated with Caldwell Memorial Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Mulberry St Sw
Suite 202

Lenoir, NC 286455463

Telephone 8287576146

Fax 8287575944

Associated Practice Facility / Clinic

🏢 Horizon Surgical Specialists Pa Facility NPI 1225142011

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lenoir, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +9.8 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Lenoir, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pezzi (35 Years) 35 Yrs

Lenoir Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$50.54	$32.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$145.00	$46.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$231.00	$73.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$139.60	$91.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$482.93	$121.59
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$75.29	$61.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$220.00	$124.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	25	$72.32	$53.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$119.41	$92.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$70.05	$29.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$217.63	$127.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$221.67	$75.46
45380 Biopsy of large bowel using an endoscope	12	12	$1424.75	$130.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	34	$52.55	$29.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	25	$210.00	$68.62
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$73.93	$54.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$107.75	$95.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$123.89	$80.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$228.00	$131.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1672.00	$245.55
45380 Biopsy of large bowel using an endoscope	12	12	$1485.00	$59.80
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$322.00	$96.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	44	$56.17	$29.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	20	$212.72	$69.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$102.21	$97.55
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$76.13	$54.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$130.28	$80.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$221.40	$133.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1672.00	$241.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$115.59	$34.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$561.69	$194.50
45380 Biopsy of large bowel using an endoscope	12	12	$1485.00	$54.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	28	$116.38	$38.45
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$55.31	$51.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	33	$30.05	$25.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$104.83	$93.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	25	$206.03	$70.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$106.38	$94.11
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$303.78	$99.61
33208 Insertion of pacemaker and upper and lower heart chamber electrode	15	15	$1547.40	$515.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1538.00	$254.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1005.17	$78.71
45380 Biopsy of large bowel using an endoscope	11	11	$1366.00	$116.55
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1019.05	$173.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	67	$208.30	$68.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	27	$115.83	$38.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	45	$37.24	$25.87
99221 Initial hospital inpatient care per day, typically 30 minutes	39	38	$275.72	$97.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$108.31	$93.87
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$51.00	$50.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$998.00	$88.64
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1086.00	$182.00
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	12	$939.00	$93.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$117.25	$93.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1538.00	$214.49
33208 Insertion of pacemaker and upper and lower heart chamber electrode	11	11	$1529.55	$504.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	76	$209.46	$69.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	65	$38.25	$24.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$106.16	$73.50
99213 Established patient office or other outpatient visit, typically 15 minutes	88	69	$55.77	$49.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	18	$115.82	$37.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$998.00	$82.09
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$261.79	$97.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$1038.78	$174.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1525.70	$230.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$102.42	$76.10
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1059.67	$173.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$917.00	$117.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$112.73	$74.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$987.00	$85.39
33208 Insertion of pacemaker and upper and lower heart chamber electrode	12	12	$1539.00	$497.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$10.00	$8.92
45380 Biopsy of large bowel using an endoscope	11	11	$1366.00	$116.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	82	$47.52	$24.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	63	$116.10	$37.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$116.95	$73.16
99213 Established patient office or other outpatient visit, typically 15 minutes	98	72	$63.56	$49.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	62	$198.22	$69.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$1010.53	$85.13
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	26	26	$1359.10	$217.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$1086.61	$182.75
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$904.06	$101.61
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$1120.29	$175.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1078.80	$119.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$12.79	$8.91
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$265.77	$97.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$402.54	$132.12

Medical Specialties & State Licenses

CMS Verified: 2021-03-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 20000935

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

89126VJ (NC)

Hospital & Practice Group Affiliations

Caldwell Memorial Hospital Inc

212 Mulberry St Sw, Lenoir, NC 286455414

Phone: 8287594900

Caldwell Memorial Hospital Inc

321 Mulberry St Sw, Lenoir, NC 286455720

Phone: 8287575218

Caldwell Memorial Hospital Inc

401 Mulberry St Sw, Lenoir, NC 286455463

Caldwell Memorial Hospital Inc

1031 Morganton Blvd Sw, Lenoir, NC 286455669

Phone: 8287576200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Thomas Young , MD

Surgery

NPI 1033344866

Doctor of Medicine (M.D.)

Dr. Keith Sharpton , MD

Surgery

NPI 1053604546

Doctor of Medicine (M.D.)

Dr. Rod Goncalves , MD

Surgery

NPI 1225052673

Doctor of Medicine (M.D.)

Dr. Adam Goode , MD

Surgery

NPI 1568090322

Doctor of Medicine (M.D.)

Jeffrey Williams , FNP-C

Nurse Practitioner - Family

NPI 1992005813

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2016

Registered at 401 MULBERRY ST SW, SUITE 202, LENOIR, NC 286455463 (Tel: 8287576146)

📍

Updated Business Mailing Address December 29, 2016

Registered at 321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 286455720 (Tel: 8287575965)

👤

Provider Name / Credentials Updated December 29, 2016

Recorded as THOMAS PEZZI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Surgery (License #20000935 in NC)

🟢

Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730269002

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2006

Last Update: March 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

321 Mulberry St Sw, Medical Staff Services

Lenoir, NC 286455720

Phone: 8287575965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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